A6220 HCPCS - GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

Code Information

HCPCS Code: A6220
Sequence Number: 0010
Short Description: Gauze >16 <=48 sq in w/bordr
Long Description: Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
Date Added: 1/1/1997
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2009
Classification: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
Coding System: HCPCS

Berenson-Eggers Type Of Service Code: D1A - Medical/surgical supplies
Type Of Service Code:
- S - Surgical dressings or other medical supplies (eff 04/95)

Pricing Indicator Code:
- 35 - Surgical dressings (price subject to floors and ceilings)
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
N/A
Medicare Carriers Manual Reference Section Number:
- 2079
Coverage Code: D - Special coverage instructions apply

Field Name	Field Value
Healthcare Common Procedure Coding System Code	A6220
HCPCS Sequence Number	0010
HCPCS Record Identification Code	3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description	Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
HCPCS Short Description	Gauze >16 <=48 sq in w/bordr
HCPCS Pricing Indicator Code 1	35 - Surgical dressings (price subject to floors and ceilings)
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Medicare Carriers Manual Reference Section Number 1	2079
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Berenson-Eggers Type Of Service Code	D1A - Medical/surgical supplies
HCPCS Type Of Service Code 1	S - Surgical dressings or other medical supplies (eff 04/95)
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/1997
HCPCS Action Effective Date	1/1/2009
HCPCS Action Code	N - No maintenance for this code